VIRTUAL ATI FUNDAMENTALS EXAM QUESTIONS AND ANSWERS
(VERIFIED ANSWERS) LATEST UPDATE 2025/2026
A nurse is caring for a client who has acute renal failure. Which of the following
assessments provides the most accurate measure of client's fluid status? -
CORRECT ANSWER daily weight--> daily weight provides important
information about client's fluid status. A gain or loss of 1 kg (2.2lb) indicates a gain
or loss of 1 L of fluid; therefore, weighing the client daily will provide the nurse
with the most accurate fluid status measurement
- not intake and output; it does reflect client's fluid status, but not the most accurate
method to measure fluid changes
A nurse is teaching a client who has lower extremity weakness how to use a 4-
point crutch gait. Which of the following instructions should the nurse include in
the teaching? - CORRECT ANSWER "bear weight on both of your legs" -- the
client has 3 points on the ground at all times. Therefore, he must be able to bear
weight on both legs
a nurse is preparing to administer a cleansing enema to a client. Which of the
following actions should the nurse plan to make? - CORRECT ANSWER
position the client on his left side
A nurse is assessing a client who has heart failure. Client has gained weight since
her last visit and her ankles are edematous. Which of the following findings by the
nurse is another clinical manifestation of fluid volume excess? - CORRECT
ANSWER bounding pulse
,A nurse is planning care for a client who has a single-lumen NG tube for gastric
decompression. Which of the following actions should the nurse include in the plan
of care? - CORRECT ANSWER - provide oral hygiene frequently
- measure drainage from the NG tube every shift
- secure the NG tube to client's gown
- apply a water-soluble lubricant to the nares to prevent/relieve dry skin
A nurse is reviewing the lab values for a client who has a positive Chvostek's sign.
Which of the following lab findings should the nurse expect? - CORRECT
ANSWER decreased calcium-- calcium is necessary for nerve conduction and
muscle contractions. When client's total calcium level is below 8.4 mg/dL, tetany
and muscle spasms may occur. The nurse should tap the facial nerve in front of
client's ear. If facial twitching follows this stimulus, it's a positive Chvostek's sign
and an indication of hypocalcemia
the nurse is caring for a client who has a prescription for a vest restraint. Which of
the following actions should the nurse take? - CORRECT ANSWER tie the
restraint with a quick-release knot-- (so that it can be untied easily in case the
client's well-being requires quickly removing the restraints)
A nurse is caring for a client who is post-operative following abdominal surgery.
Which of the following actions should the nurse take first after discovering that the
client's wound has eviscerated? - CORRECT ANSWER Cover the incision with a
moist sterile dressing-- (nurse should apply safety and risk reduction priority-
setting framework. An open wound places the client at risk for peritonitis, and any
exposed organ tissue could dry out. Therefore, covering the wound with a moist
sterile dressing is the first action the nurse should take to protect client)
A nurse on a surgical unit is receiving a client who had abdominal surgery from the
postanesthesia care unit. Which of the following assessments should the nurse
make first? - CORRECT ANSWER airway-- (nurse should apply ABC
framework)
, a nurse is planning to document care provided for a client. which of the following
abbreviations should the nurse use? - CORRECT ANSWER PC- for after meals
a nurse in the ED is caring for a client who has abdominal trauma. Which of the
following assessment findings should the nurse ID as an indication of hypovolemic
shock? - CORRECT ANSWER tachycardia
A nurse if performing a skin assessment for a client who expresses concern about
skin cancer. Which of the following findings should the nurse ID as a potential
indication of a skin malignancy? - CORRECT ANSWER A mole with an
asymmetrical appearance-- (an uneven or asymmetrical shape is a potential
indication of a skin malignancy)
A nurse is assessing a client who reports increased pain following PT. Which of the
following questions should the nurse ask when assessing the quality of the client's
pain? - CORRECT ANSWER "is your pain sharp or dull"-- (trying to get the
quality= the characteristics of the pain, not quantifiable data)
A nurse is preparing to administer enoxaparin sub-Q to a client. Which of the
following actions should the nurse take? - CORRECT ANSWER Administer the
med with the needle at a 45 degree angle
a nurse is preparing to apply a dressing for a client who has a stage 2 pressure
injury. which type of dressing should the nurse use? - CORRECT ANSWER
hydrocolloid-- (bc this type of dressing promotes healing in stage 2 pressure
injuries by creating a moist wound bed
A nurse is caring for a client who has herpes zoster and asks the nurse about the
use of complementary and alternative therapies for pain control. The nurse should
inform the client that his condition is a contraindication for which therapy? -
(VERIFIED ANSWERS) LATEST UPDATE 2025/2026
A nurse is caring for a client who has acute renal failure. Which of the following
assessments provides the most accurate measure of client's fluid status? -
CORRECT ANSWER daily weight--> daily weight provides important
information about client's fluid status. A gain or loss of 1 kg (2.2lb) indicates a gain
or loss of 1 L of fluid; therefore, weighing the client daily will provide the nurse
with the most accurate fluid status measurement
- not intake and output; it does reflect client's fluid status, but not the most accurate
method to measure fluid changes
A nurse is teaching a client who has lower extremity weakness how to use a 4-
point crutch gait. Which of the following instructions should the nurse include in
the teaching? - CORRECT ANSWER "bear weight on both of your legs" -- the
client has 3 points on the ground at all times. Therefore, he must be able to bear
weight on both legs
a nurse is preparing to administer a cleansing enema to a client. Which of the
following actions should the nurse plan to make? - CORRECT ANSWER
position the client on his left side
A nurse is assessing a client who has heart failure. Client has gained weight since
her last visit and her ankles are edematous. Which of the following findings by the
nurse is another clinical manifestation of fluid volume excess? - CORRECT
ANSWER bounding pulse
,A nurse is planning care for a client who has a single-lumen NG tube for gastric
decompression. Which of the following actions should the nurse include in the plan
of care? - CORRECT ANSWER - provide oral hygiene frequently
- measure drainage from the NG tube every shift
- secure the NG tube to client's gown
- apply a water-soluble lubricant to the nares to prevent/relieve dry skin
A nurse is reviewing the lab values for a client who has a positive Chvostek's sign.
Which of the following lab findings should the nurse expect? - CORRECT
ANSWER decreased calcium-- calcium is necessary for nerve conduction and
muscle contractions. When client's total calcium level is below 8.4 mg/dL, tetany
and muscle spasms may occur. The nurse should tap the facial nerve in front of
client's ear. If facial twitching follows this stimulus, it's a positive Chvostek's sign
and an indication of hypocalcemia
the nurse is caring for a client who has a prescription for a vest restraint. Which of
the following actions should the nurse take? - CORRECT ANSWER tie the
restraint with a quick-release knot-- (so that it can be untied easily in case the
client's well-being requires quickly removing the restraints)
A nurse is caring for a client who is post-operative following abdominal surgery.
Which of the following actions should the nurse take first after discovering that the
client's wound has eviscerated? - CORRECT ANSWER Cover the incision with a
moist sterile dressing-- (nurse should apply safety and risk reduction priority-
setting framework. An open wound places the client at risk for peritonitis, and any
exposed organ tissue could dry out. Therefore, covering the wound with a moist
sterile dressing is the first action the nurse should take to protect client)
A nurse on a surgical unit is receiving a client who had abdominal surgery from the
postanesthesia care unit. Which of the following assessments should the nurse
make first? - CORRECT ANSWER airway-- (nurse should apply ABC
framework)
, a nurse is planning to document care provided for a client. which of the following
abbreviations should the nurse use? - CORRECT ANSWER PC- for after meals
a nurse in the ED is caring for a client who has abdominal trauma. Which of the
following assessment findings should the nurse ID as an indication of hypovolemic
shock? - CORRECT ANSWER tachycardia
A nurse if performing a skin assessment for a client who expresses concern about
skin cancer. Which of the following findings should the nurse ID as a potential
indication of a skin malignancy? - CORRECT ANSWER A mole with an
asymmetrical appearance-- (an uneven or asymmetrical shape is a potential
indication of a skin malignancy)
A nurse is assessing a client who reports increased pain following PT. Which of the
following questions should the nurse ask when assessing the quality of the client's
pain? - CORRECT ANSWER "is your pain sharp or dull"-- (trying to get the
quality= the characteristics of the pain, not quantifiable data)
A nurse is preparing to administer enoxaparin sub-Q to a client. Which of the
following actions should the nurse take? - CORRECT ANSWER Administer the
med with the needle at a 45 degree angle
a nurse is preparing to apply a dressing for a client who has a stage 2 pressure
injury. which type of dressing should the nurse use? - CORRECT ANSWER
hydrocolloid-- (bc this type of dressing promotes healing in stage 2 pressure
injuries by creating a moist wound bed
A nurse is caring for a client who has herpes zoster and asks the nurse about the
use of complementary and alternative therapies for pain control. The nurse should
inform the client that his condition is a contraindication for which therapy? -
